Gastrointestinal CancerPhase 1/2NCT06596694
Study of Patritumab Deruxtecan in Participants With Gastrointestinal Cancers (MK-1022-011) (HERTHENA-PanTumor02)
A Phase 1/2 study testing Patritumab deruxtecan in people with Gastrointestinal Cancer, run by Merck Sharp & Dohme LLC at 62 sites in 15 countries.
Trial summary
Researchers want to learn if patritumab deruxtecan (MK-1022) can treat certain gastrointestinal (GI) cancers. The GI cancers being studied are advanced (the cancer has spread to other parts of the body). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Gastrointestinal Cancer
- What is being tested?
- Patritumab deruxtecan
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 180 participants
- Where
- 62 sitesin 15 countries
- Study dates
- 3 Nov 2024to 7 Dec 2028
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The main inclusion criteria include but are not limited to the following:
- Has one of the following cancers:
- Unresectable or metastatic colorectal cancer.
- Advanced and/or unresectable biliary tract cancer (BTC)
- Hepatocellular carcinoma (HCC) not amenable to locoregional therapy
- Locally advanced unresectable or metastatic gastroesophageal cancer
- Has received prior therapy for the cancer.
- Has recovered from any side effects due to previous cancer treatment
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- Has a history of (noninfectious) interstitial lung disease (ILD) or pneumonitis that required steroids, or has current ILD or pneumonitis, and/or suspected ILD or pneumonitis that cannot be ruled out by standard diagnostic assessments at Screening
- Has clinically severe respiratory compromise (based on the investigator's assessment) resulting from intercurrent pulmonary illnesses
- Has evidence of any leptomeningeal disease
- Has clinically significant corneal disease
- Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
- Has evidence of ongoing uncontrolled systemic bacterial, fungal, or viral infection
Trial locations and contacts
62 sites in 15 countries.
62 sites in 15 countries
United States13 sites
University of Colorado Cancer Center ( Site 1200)
Aurora, Colorado, 80045
University of Chicago Medical Center ( Site 1204)
Chicago, Illinois, 60637
University of Florida ( Site 1202)
Gainesville, Florida, 32610
University of Wisconsin ( Site 1210)
Madison, Wisconsin, 53792
Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital-Research ( Site 1203)
Marietta, Georgia, 30060
Mount Sinai Medical Center Comprehensive Cancer Center ( Site 1213)
Miami Beach, Florida, 33140
NYU Langone Hospital - Long Island ( Site 1230)
Mineola, New York, 11501
Perlmutter NYU Cancer Center ( Site 1212)
New York, New York, 10016
Renown Regional Medical Center ( Site 1221)
Reno, Nevada, 89502
Oncology and Hematology Associates of Southwest Virginia (BRCC) ( Site 1207)
Roanoke, Virginia, 24014
UCLA Hematology Oncology Santa Monica ( Site 1205)
Santa Monica, California, 90404
Scott & White Medical Center-Temple ( Site 1224)
Temple, Texas, 76508
Sibley Memorial Hospital ( Site 1208)
Washington D.C., District of Columbia, 20016
China9 sites
Fujian Provincial Cancer Hospital ( Site 0408)
Fuzhou, Fujian, 350014
Southern Medical University Nanfang Hospital ( Site 0413)
Fuzhou, Guangdong, 510515
The First Affiliated Hospital, Sun Yat-sen University ( Site 0404)
Guangzhou, Guangdong, 510080
The First Affiliated Hospital of Anhui Medical University ( Site 0405)
Hefei, Anhui, 230088
Affiliated Cancer Hospital of Guangxi Medical University ( Site 0411)
Nanning, Guangxi, 530200
Zhongshan Hospital,Fudan University ( Site 0400)
Shanghai, Shanghai Municipality, 200032
First Hospital of Shanxi Medical University ( Site 0409)
Taiyuan, Shanxi, 030001
Zhongshan Hospital Fudan University (Xiamen Branch) ( Site 0412)
Xiamen, Fujian, 361015
Henan Cancer Hospital ( Site 0403)
Zhengzhou, Henan, 450008
Australia4 sites
Alfred Health ( Site 0102)
Melbourne, Victoria, 3004
Austin Health ( Site 0103)
Melbourne, Victoria, 3084
One Clinical Research ( Site 0104)
Mount Pleasant, Western Australia, 6009
Westmead Hospital ( Site 0100)
Sydney, New South Wales, 2145
Chile4 sites
Fundacion Arturo Lopez Perez ( Site 0301)
Santiago, Region M. de Santiago, 7500921
Centro de Oncología de Precisión ( Site 0305)
Santiago, Region M. de Santiago, 7560908
Clínica UC San Carlos de Apoquindo ( Site 0302)
Santiago, Region M. de Santiago, 7620002
Bradfordhill ( Site 0300)
Santiago, Region M. de Santiago, 8420383
South Korea4 sites
Seoul National University Hospital ( Site 0900)
Seodaemun-gu, Seoul, 03080
Severance Hospital, Yonsei University Health System ( Site 0903)
Seoul, 03722
Asan Medical Center ( Site 0902)
Seoul, 05505
Samsung Medical Center ( Site 0901)
Seoul, 06351
Spain4 sites
Hospital Universitari Vall d Hebron ( Site 1000)
Barcelona, 08035
Hospital Universitario Gregorio Maranon ( Site 1002)
Madrid, 28007
Hospital Clinico San Carlos... ( Site 1003)
Madrid, 28040
Hospital Central de Asturias ( Site 1001)
Oviedo, Principality of Asturias, 33011
Turkey (Türkiye)4 sites
Adana City Hospital ( Site 1404)
Adana, 01370
Hacettepe Universite Hastaneleri ( Site 1401)
Ankara, 06230
Dokuz Eylul Universitesi Hastanesi ( Site 1402)
Balçova, İzmir, 35340
Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastırma Hastanesi ( Site 1400)
Yenimahalle, Ankara, 06200
Canada3 sites
QEII Health Sciences Centre - Victoria General Site ( Site 0200)
Halifax, Nova Scotia, B3H 2Y9
McGill University Health Centre ( Site 0202)
Montreal, Quebec, H4A 3J1
Sunnybrook Research Institute - Odette Cancer Centre ( Site 0206)
Toronto, Ontario, M4N 3M5
France3 sites
Hopital Beaujon ( Site 0500)
Clichy, Hauts-de-Seine, 92110
Hopital de la Croix Rousse ( Site 0502)
Lyon, Auvergne-Rhône-Alpes, 69004
Centre Eugène Marquis Rennes - Centre de Lutte Contre le Cancer ( Site 0501)
Rennes, Ille-et-Vilaine, 35042
Israel3 sites
Rambam Health Care Campus ( Site 0603)
Haifa, 3109601
Hadassah Medical Center ( Site 0602)
Jerusalem, 9112001
Sourasky Medical Center ( Site 0601)
Tel Aviv, 6423906
Italy3 sites
Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 0700)
Milan, 20133
ASST Grande Ospedale Metropolitano Niguarda ( Site 0701)
Milan, 20162
Fondazione Policlinico Universitario Agostino Gemelli ( Site 0702)
Roma, 00168
Taiwan3 sites
National Cheng Kung University Hospital-Clinical Trial Center ( Site 1502)
Tainan, 704
National Taiwan University Hospital ( Site 1500)
Taipei, 10002
Taipei Veterans General Hospital ( Site 1501)
Taipei, 112201
Switzerland2 sites
Hopitaux Universitaires de Geneve HUG. ( Site 1102)
Geneva, 1211
Universitaetsspital Zuerich ( Site 1105)
Zurich, 8091
Thailand2 sites
Faculty of Medicine Siriraj Hospital ( Site 1301)
Bangkoknoi, Bangkok, 10700
Ramathibodi Hospital ( Site 1302)
Ratchathewi, Bangkok, 10400
About this study
Official title: A Phase 1/2 Study to Evaluate the Safety and Efficacy of Patritumab Deruxtecan in Gastrointestinal Cancers
Researchers want to learn if patritumab deruxtecan (MK-1022) can treat certain gastrointestinal (GI) cancers. The GI cancers being studied are advanced (the cancer has spread to other parts of the body). The goals of this study are to learn:
- About the safety and how well people tolerate of patritumab deruxtecan
- How many people have the cancer respond (get smaller or go away) to treatment
- Conditions
- Gastrointestinal Cancer
- Being tested
- Patritumab deruxtecan
- Medical subject headings
- Gastrointestinal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patritumab deruxtecanBiological
Also called MK-1022, HER3-DXd, U3-1402
Administered via intravenous (IV) infusion
| Study group | Role | What they receive |
|---|---|---|
| Patritumab deruxtecan | Experimental | Participants receive patritumab deruxtecan intravenous (IV) infusion on Day 1 of each 21-day cycle (every 3 weeks) until disease progression, intolerable toxicity, or investigator decision. Receives: Biological: Patritumab deruxtecan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants Experiencing Dose-Limiting Toxicity (DLT) (Dose-Escalation Phase)
DLT will be defined as any drug-related adverse event observed during the DLT evaluation period that results in a change to a given dose or a delay in initiating the next 21-day cycle. The number of participants in the dose-escalation phase who experience a DLT will be presented.
Measured: Up to 21 days
Number of Participants with One or More Adverse Events (AEs)
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. The number of participants who experience an AE will be presented.
Measured: Up to approximately 44 months
Number of Participants who Discontinue Study Intervention Due to an AE
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. The number of participants who discontinue study treatment due to an AE will be presented.
Measured: Up to approximately 44 months
Objective Response Rate (ORR)
ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.
Measured: Up to approximately 44 months
Secondary outcomes (5)
Duration of Response (DOR)
For participants who demonstrate a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death. Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD. DOR as assessed by BICR will be presented.
Measured: Up to approximately 44 months
Progression Free Survival (PFS)
PFS is defined as the time from first day of study intervention to the first documented progressive disease (PD) or death due to any cause, whichever occurs first as assessed by BICR. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. The appearance of one or more new lesions is also considered PD. PFS as assessed by BICR will be presented.
Measured: Up to approximately 44 months
Overall Survival (OS)
OS is the length of time from when the participant starts treatment until death from any cause.
Measured: Up to approximately 44 months
Maximum Plasma Concentration (Cmax) of Patritumab Deruxtecan
Blood samples collected at protocol specific time points will be used to determine the Cmax of patritumab deruxtecan.
Measured: At designated time points (up to ~44 months)
Trough Concentration (Ctrough) of Patritumab Deruxtecan
Blood samples collected at protocol specific time points will be used to determine the Ctrough of patritumab deruxtecan.
Measured: At designated time points (up to ~44 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start3 Nov 2024
- Primary completion7 Dec 2028 (estimated)
- Study completion7 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gastrointestinal CancerStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 180 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Daiichi Sankyo
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06596694
- Sponsor's protocol ID
- 1022-011
- Other IDs
- MK-1022-011, 2024-512442-41-00, U1111-1305-0677
- Status last verified
- Sep 2026
- First submitted
- 11 Sep 2024
- Last updated
- 2 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 2 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2 Study to Evaluate the Safety and Efficacy of Patritumab Deruxtecan in Gastrointestinal Cancers
- ClinicalTrials.gov ID
- NCT06596694
- Acronym / sponsor ID
- 1022-011
- Conditions
- Gastrointestinal Cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 180 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- Daiichi Sankyo
- Study start
- 3 Nov 2024 (actual)
- Primary completion
- 7 Dec 2028 (estimated)
- Study completion
- 7 Dec 2028 (estimated)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Researchers want to learn if patritumab deruxtecan (MK-1022) can treat certain gastrointestinal (GI) cancers. The GI cancers being studied are advanced (the cancer has spread to other parts of the body). The goals of this study are to learn:
- About the safety and how well people tolerate of patritumab deruxtecan
- How many people have the cancer respond (get smaller or go away) to treatment
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patritumab deruxtecan | Experimental | Biological: Patritumab deruxtecanParticipants receive patritumab deruxtecan intravenous (IV) infusion on Day 1 of each 21-day cycle (every 3 weeks) until disease progression, intolerable toxicity, or investigator decision. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Has one of the following cancers:
- Has received prior therapy for the cancer.
- Has recovered from any side effects due to previous cancer treatment
Key exclusion criteria (7 listed)
- Has a history of (noninfectious) interstitial lung disease (ILD) or pneumonitis that required steroids, or has current ILD or pneumonitis, and/or suspected ILD or pneumonitis that cannot be ruled out by standard diagnostic assessments at Screening
- Has clinically severe respiratory compromise (based on the investigator's assessment) resulting from intercurrent pulmonary illnesses
- Has evidence of any leptomeningeal disease
- Has clinically significant corneal disease
- Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Patritumab deruxtecanAlso: MK-1022, HER3-DXd, U3-1402Administered via intravenous (IV) infusion | Biological | Patritumab deruxtecan |
Primary outcome
Number of Participants Experiencing Dose-Limiting Toxicity (DLT) (Dose-Escalation Phase)
Time frame: Up to 21 days
DLT will be defined as any drug-related adverse event observed during the DLT evaluation period that results in a change to a given dose or a delay in initiating the next 21-day cycle. The number of participants in the dose-escalation phase who experience a DLT will be presented.
Number of Participants with One or More Adverse Events (AEs)
Time frame: Up to approximately 44 months
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. The number of participants who experience an AE will be presented.
Number of Participants who Discontinue Study Intervention Due to an AE
Time frame: Up to approximately 44 months
An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. The number of participants who discontinue study treatment due to an AE will be presented.
Objective Response Rate (ORR)
Time frame: Up to approximately 44 months
ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.
5 secondary outcomes
Duration of Response (DOR)
Time frame: Up to approximately 44 months
Progression Free Survival (PFS)
Time frame: Up to approximately 44 months
Overall Survival (OS)
Time frame: Up to approximately 44 months
Maximum Plasma Concentration (Cmax) of Patritumab Deruxtecan
Time frame: At designated time points (up to ~44 months)
Trough Concentration (Ctrough) of Patritumab Deruxtecan
Time frame: At designated time points (up to ~44 months)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Oct 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
62 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Patritumab deruxtecan in people with Gastrointestinal Cancer, run by Merck Sharp & Dohme LLC at 62 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 2 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 62 sites in United States, China, Australia, Chile, South Korea and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants Experiencing Dose-Limiting Toxicity (DLT) (Dose-Escalation Phase) (time frame: Up to 21 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2026.